Bloodborne Pathogen Training for School Personnel Protecting Yourself and Others Danville Area School District 2017-2018

Purpose of this training Reviewing this power point presentation will meet the bloodborne pathogen annual training required by OHSA Standard 29 CFR 1910.1030 for employees of the Danville Area School District. Please verify your review of this power point by completing the Survey Monkey link found at the end of the material.

DASD Bloodborne Pathogen Exposure Control Plan Developed to eliminate or minimize employee exposure to blood and other potentially infectious materials (OPIM) Copies of this plan are available in the main office of each school, in each building’s health office, and in the Administrative Office.

What is a bloodborne pathogen (BBP)? Pathogenic microorganisms that are present in human blood and other potentially infectious materials (OPIM). OPIMs include semen, vaginal secretions, saliva and any body fluid that is visibly contaminated with blood Include, but are not limited to, Hepatitis B Hepatitis C HIV

Facts about Hepatitis B, Hepatitis C, and HIV Causes inflammation of the liver. Can lead to scarring (cirrhosis), increased risk of liver cancer Virus can survive dried on surfaces for up to one week. There is a protective vaccine. Series of 3 injections. Symptoms: (1-9 months after exposure) Abdominal pain Joint pain Fatigue Loss of appetite Itchy skin Yellow skin Hepatitis C Causes inflammation of the liver. Injection drug use is primary risk. Found mainly in blood. Accidental needle sticks put nurses at greater risk. Mild symptoms, often not recognized. HIV HIV attacks the immune system; can develop into AIDS No vaccine People can carry the virus and be symptom free for a lengthy period of time.

Who is at risk for occupational exposure to Bloodborne Pathogens? Everyone has the potential for exposure. Employees at higher risk are those who come in contact with blood through either direct student care or environmental sanitation.

Factors necessary for potential infection with a bloodborne pathogen Infected source Entry site: open cut, abrasion, sore, mucous membranes of eyes, nose, mouth Route of transmission Direct: infected blood enters through cut, sore, abrasion Indirect: touch contaminated surface or object and transfer to self Accidental injury: injure self with sharp object Susceptible person

To Limit Exposure, ALWAYS Practice Universal Precautions

Universal Precautions Universal precautions are practices and procedures that help prevent the transmission of bloodborne pathogens. ALL blood and bodily fluids should be treated as if they could be infectious. Following careful procedures can prevent exposure.

Workplace practices to limit exposure Thorough handwashing is the single most important practice to decrease the spread of disease. Soap & water is best. Hand sanitizer may be used if soap & water is not available, however soap & water must be used as soon as feasible. In addition to before eating and after using restroom, always perform after removing protective equipment including gloves.

Broken sharps should be picked up with a broom, brush or dustpan and disposed of in a sharps resistant container. Recapping, bending or breaking needles is prohibited. Dispose of in health office sharps containers. Do not eat, drink, apply cosmetics or lip balm, or handle contact lenses in areas where there is a reasonable likelihood of exposure to blood or OPIM. Never reach into trash container or push trash down with your hands or feet.

Personal Protective Equipment (PPE) Used to prevent direct skin, eye, or mucous membrane contact with blood or bodily fluids Disposable Gloves Face mask, CPR shield/mask, resusciatation bags/ambu, and eye protection are available. See your school nurse.

Disposable gloves use and supply Use for the provision of first aid, or contact with any blood or other potentially infectious materials (OPIM) Slip each hand into a clean glove, pulling it snugly over the fingers to assure a good fit. Pull glove over the wrist as far as it will go to maximize coverage. Do not reuse gloves.

Remove gloves by turning the glove inside out as it is pulled over the hand. During the removal of the second glove, avoid touching the outer surface by slipping the fingers of the ungloved hand under the glove and pulling it inside out as it is pulled over the hand. Dispose of used gloves in plastic lined garbage containers. Red bags are available in health offices for PPE visibly saturated with blood. Wash hands vigorously for 10-20 seconds.

Maintain a supply of gloves in readily accessible locations: classroom, playground, cafeteria, bus, gymnasium, & athletic field Gloves are available from building nurses and bus, maintenance, and cafeteria supervisors. Custodians and cafeteria staff have their own gloves that meet the requirements for their areas and work responsibilities. Gloves provided by building nurses are latex free.

Additional guidelines for handling potentially infectious material Contact custodial services ASAP to clean up spills and disinfect all contaminated surfaces. Areas with increased risk for BBP contamination will be cleaned daily. Disinfectants registered by the EPA for bloodborne pathogens are to be used. Biohazard bags/tags will be used to identify actual or potential biological hazard on equipment, containers, and infectious wastes.

Masks or goggles should be worn when there is a risk of splashes with potentially infectious materials. Depending on item, medical and custodial non-disposable PPE will be decontaminated by either school health or custodial staff. Student’s personal contaminated clothing should be removed, sealed in a plastic bag, and when possible, given to parents. Place infectious wastes in closable, leak-proof bags prior to disposal in appropriate labeled container.

Hepatitis B Vaccine Staff in positions with higher exposure risk are encouraged to obtain this 3 vaccine series. This includes nurses, custodians, personal care aides, coaches and special education staff. The DASD offers the vaccines through the health care providers per the employee contracts. Employees who decline the Hepatitis B vaccine must sign a declination form. If desired, employees who initially decline may receive at later date .

Significant exposure incident Any puncture of the skin by a sharp object such as a needle that contained blood or body fluids. (sharps injury) Mucous membranes of nose, mouth or eyes splattered with blood. Exposure of broken or open skin with blood, saliva, urine or vomitus (eg bites).

Post significant exposure protocol Immediately wash exposed area. If skin, use soap and water If mucous membranes, flush with water Report exposure to building nurse and supervisor. If needed, building nurse will provide additional first aid. Document circumstances and exposure with Workman’s Compensation Form.

If sharps injury, complete Sharps Injury Log available from building nurse. DASD will provide free medical evaluation for any exposed employee. If recommended by health care provider, this will include any necessary immunizations or blood tests. All information on the exposure incident and post-exposure evaluation with will be confidential and will be maintained in the employee’s personnel file.

Key Points All body fluids may have blood borne diseases. Practice Universal Precautions to protect yourself and others. Hand washing is the most effective practice to prevent the spread of infection. Keep Personal Protective Equipment (PPE) readily available. Ask your school nurse or health care provider about Hepatitis B vaccine. Report any exposure immediately. Blood borne pathogen training must be completed yearly.

For questions contact Deann Kinsey @ ext For questions contact Deann Kinsey @ ext. 2108, Carla Raup @ ext 1103, or Tracy Golder@ ext. 3804 or your building principal or supervisor. To verify completion of this training please clink on the link below https://www.surveymonkey.com/r/5NN8M5H Thank you for your participation!